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PROJECTAUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ SID~PB ~GL~ JC JE~ <br /> Project title: ~ ~ ~ ~ ~ ~ ~ ~ 6 ~ <br /> (/ocalion and work desciiplionJ <br /> roject manar /contact /private engineer: ®~1(` ~ 9 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsf (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ 4 <br /> 'L~ i? <br /> APPROVED: ~ ~ ~ <br /> Project Manager Y Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~~?l <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. " ` - ACK ~ ~ ~ ~ • XX~a'~SPJ <br /> GL Title ° ~ ~ ~ ~ ~ <br /> Assigned by Date <br /> Accounting by Date <br /> i <br /> i <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> <br />